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Organization
MD CUSTOM COMPOUNDING
Active
Organization
MD CUSTOM COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A KEMNER RPH (OWNER/PHARMACIST)
(513) 932-2911
Entity
Organization
Contact information
Practice address
19 N MECHANIC ST, LEBANON, OH 45036-1801
(513) 932-2911
(513) 932-4905
Mailing address
19 N MECHANIC ST, LEBANON, OH 45036-1801
(513) 932-2911
(513) 932-4905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
OH
Other
Enumeration date
11/14/2005
Last updated
03/07/2023
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